Family structure and sexual and reproductive health outcomes among adolescents in rural Sierra Leone.
Family structure and sexual and reproductive health outcomes among adolescents in rural Sierra Leone.
复制标题
塞拉利昂农村青少年的家庭结构以及性健康和生殖健康结果。
DOI：
10.1080/17441692.2015.1031155
复制
发表时间：
2016
影响因子：
3.3
通讯作者：
Stark L
中科院分区：
文献类型：
--
作者：
Stark L
孤儿在撒哈拉以南非洲很常见，是影响全球儿童援助的一个关键问题。对儿童的照顾安排往往是流动的，许多“孤儿”的亲生父母还活着。本研究探讨了塞拉利昂农村地区家庭因素对早期性行为和怀孕的保护作用。对塞拉利昂两个地区的530名青少年进行了调查，以评估居住安排与最近性活动和未婚怀孕之间的关系。在控制混杂因素后，与母亲生活在一起（AOR = 0.46，95%CI：0.22-1.00）和与父母双方生活在一起（AOR = 0.36，95%CI：0.17-0.73）对最近的性活动有保护作用。孤儿状况与最近的性活动没有显著相关。在164名性活跃的青少年中，无论是居住安排还是生育与怀孕无关。这项研究证明了与幸存的亲生父母生活在一起对推迟早期性行为的保护作用。一旦青少年开始性活跃;然而，生活安排与婚外怀孕的风险无关。研究结果表明，支持家庭联系和防止不必要的家庭分离可能至少有利于塞拉利昂青少年性健康和生殖健康的某些方面。
Orphanhood is common in sub-Saharan Africa, and is a critical issue shaping global assistance for children. Care arrangements for children are often fluid, and many ‘orphaned’ children have a surviving biological parent. This study examines the protective effects of family-level factors on early sex and pregnancy in rural Sierra Leone. A survey of 530 adolescents in 2 districts in Sierra Leone was analysed to evaluate associations between living arrangement and orphanhood on recent sexual activity and pregnancies out of wedlock. After controlling for confounders, living with one's mother (AOR = 0.46, 95% CI: 0.22–1.00) and living with both parents (AOR = 0.36, 95% CI: 0.17–0.73) were protective against recent sexual activity. Orphan status was not significantly associated with recent sexual activity. Among 164 sexually active adolescents, neither living arrangement nor orphanhood was associated with pregnancy. This study demonstrates the protective effect of living with a surviving biological parent to delay early sexual debut. Once an adolescent becomes sexually active; however, living arrangement is not associated with the risk of pregnancy out of wedlock. The findings suggest that supporting family connectedness and preventing unnecessary family separation may benefit at least some aspects of adolescent sexual and reproductive health in Sierra Leone.